| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $46.77 | $128.82 | |
Aetna
| Professional | $10.00 | $12.02 | $18.20 | |
Anthem BCBS
| Facility | $31.62 | $35.48 | $107.15 | |
Anthem BCBS
| Professional | $9.33 | $12.02 | $35.48 | |
Cigna
| Facility | $30.20 | $57.54 | $81.28 | |
Cigna
| Professional | $20.89 | $20.89 | $26.30 | |
Harvard Pilgrim
| Professional | $18.20 | $32.36 | $58.88 | |
United
| Professional | $7.76 | $10.96 | $28.18 |